NYU LANGONE HEALTH is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area, including five inpatient locations, a children's hospital, three emergency rooms and a level 1 trauma center. Also part of NYU Langone Health is the Laura and Isaac Perlmutter Cancer Center, a National Cancer Institute designated comprehensive cancer center, and NYU Grossman School of Medicine, which since 1841 has trained thousands of physicians and scientists who have helped to shape the course of medical history. For more information, go to nyulangone.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.

POSITION SUMMARY: We have an exciting opportunity to join our team as a Business Office Associate. In this role, the successful candidate is responsible for verifying eligibility, determining patient's insurance coverage as well pre-certify/pre-authorize inpatient and outpatient services. Verifies coverage levels and works with individuals to educate them on their benefits information. Provides clear understanding and expectation of financial obligations. Assumes financial risk of the organization by insuring services are pre-certified and pre-authorized prior to rendering services.

JOB RESPONSIBILITIES:

• Verifies insurance eligibility for treatment and procedures and obtains insurance benefits and coverage applicable to services and par status.
• Allocates appropriate health plan code and records benefits information in the registration system.
• Obtains and /or confirms pre-certification or authorization applicable to service and corresponding CPT(s); appropriately documents authorization in the registration system; documents status of Financial Clearance for transparency to end user.
• Determines and documents patient out of pocket cost; responsible for timely communication of patient financial liability.
• Exercises skill in prioritizing assignments in order to complete work in a timely manner; able to manage multiple assignments, pressures in deadlines, competitive requirements , and/or a heavy workload.
• Answers phones; provides information, takes messages, or redirects calls to the appropriate person/department.
• Utilizes all available tools to efficiently complete responsibilities.
• Performs other duties as assigned.

MINIMUM QUALIFICATIONS: To qualify you must have a High School or GED required. Strong knowledge of front end hospital registration and insurance verification and /or practice operations a must. 1-2 years of experience in patient access/patient accounts or in related field or an equivalent combination of experience and education. Focused, task oriented

PREFERRED QUALIFICATIONS: Associate's Degree preferred. Certified Healthcare Access Associate (CHAA) Strong knowledge of hospital registration and medical insurance Soarian and/ or EPIC experience preferred

Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. NYU Langone Health is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU Langone Health's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information. To view the Pay Transparency Notice, please click here.

Required Skills Required Experience